Individual
CAROL J MACDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
91-2034 KAMAKANA ST, EWA BEACH, HI 96706-6412
(719) 465-7862
Mailing address
91-2034 KAMAKANA ST, EWA BEACH, HI 96706-6412
(719) 465-7862
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
RN-92801
HI
Other
Enumeration date
08/14/2019
Last updated
08/14/2019
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